| NPI | 1831871474 |
|---|---|
| Former Name | MARY AMANDA MCCLOSKEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN 1359284) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: MN 1359284) |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2023-08-03 |